BANNISTER INTERNAL MEDICINE CLINIC NPI 1013395235

NPI Information

BANNISTER INTERNAL MEDICINE CLINIC is a primary care clinic center in Kansas City, MO. BANNISTER INTERNAL MEDICINE CLINIC NPI is 1013395235. The provider is registered as an organization entity type.
The provider Is Doing Business As Bannister Internal Medicine Clinic, Llc.

The provider's business location address is:

9520 JAMES A REED RD
SUITE B
KANSAS CITY, MO
ZIP 64134-689
Phone: (816) 599-6317
Fax: (816) 599-6319

The provider's authorized official is Fatima H Khan .
The authorized official title is Owner and has the following contact phone number (816) 599-6317.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 7/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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